Comparison of 3D C-arm fluoroscopy and 3D image-guided navigation for minimally invasive pelvic surgery

Li, Bin; He, Jiliang; Zhu, Zexing; Zhou, Dongsheng; Zhang, Hao; Wang, Yonghui; Li, Qinghu

doi:10.1007/s11548-015-1157-6

Cited by 11 publications

(11 citation statements)

References 24 publications

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“…Two out of three case-control studies reported that 3D-assisted surgery led to a significant decrease in operation time per screw using 3D printed drilling guides [ 16 ] and intra-operative 3D imaging [ 17 ] ( Table 5 ). Berger-Groch et al [ 14 ] found no difference using intra-operative 3D imaging.…”

Section: Resultsmentioning

confidence: 99%

“…Three of the four case-control studies reported that intra-operative 3D-assisted surgery significantly reduced fluoroscopy time [ 14 , 17 , 28 ]. The remaining case-control study by Beck et al [ 22 ] did not express the difference in fluoroscopy time with a p -value.…”

Section: Resultsmentioning

confidence: 99%

“…Two out of five case-control studies reported significantly less screw malposition rates by using a 3D printed drilling [ 16 ] and intra-operative 3D image guided surgery [ 17 ]. Two other studies found no difference using intra-operative 3D image guided surgery [ 14 , 18 ].…”

Section: Resultsmentioning

confidence: 99%

“…The two-case control-studies did not report an increase in functional outcome using a 3D printed model [ 4 ] or intra-operative 3D imaging [ 17 ]. Weighted mean rate of the Majeed score “excellent” and “good” for 3D-assisted surgery was 88% (range 82–100) and 83% (range 81–89) in the conventional group.…”

Section: Resultsmentioning

confidence: 99%

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Does 3D-Assisted Operative Treatment of Pelvic Ring Injuries Improve Patient Outcome?—A Systematic Review of the Literature

Banierink

Meesters

Duis

et al. 2021

JPM

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Background: There has been an exponential growth in the use of advanced technologies for three-dimensional (3D) virtual pre- and intra-operative planning of pelvic ring injury surgery but potential benefits remain unclear. The purpose of this study was to evaluate differences in intra- and post-operative results between 3D and conventional (2D) surgery. Methods: A systematic review was performed including published studies between 1 January 2010 and 22 May 2020 on all available 3D techniques in pelvic ring injury surgery. Studies were assessed for their methodological quality according to the Modified McMaster Critical Review form. Differences in operation time, blood loss, fluoroscopy time, screw malposition rate, fracture reduction and functional outcome between 3D-assisted and conventional (2D) pelvic injury treatment were evaluated and a best-evidence synthesis was performed. Results: Eighteen studies fulfilled the inclusion criteria, evaluating a total of 988 patients. Overall quality was moderate. Regarding intra-operative results of 3D-assisted versus conventional surgery: The weighted mean operation time per screw was 43 min versus 52 min; for overall operation time 126 min versus 141 min; blood loss 275 ± 197 mL versus 549 ± 404 mL; fluoroscopy time 74 s versus 125 s and fluoroscopy frequency 29 ± 4 versus 63 ± 3. In terms of post-operative outcomes of 3D-assisted versus conventional surgery: weighted mean screw malposition rate was 8% versus 18%; quality of fracture reduction measured by the total excellent/good rate by Matta was 86% versus 82% and Majeed excellent/good rate 88% versus 83%. Conclusion: The 3D-assisted surgery technologies seem to have a positive effect on operation time, blood loss, fluoroscopy dose, time and frequency as well as accuracy of screw placement. No improvement in clinical outcome in terms of fracture reduction and functional outcome has been established so far. Due to a wide range of methodological quality and heterogeneity between the included studies, results should be interpreted with caution.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

Does 3D-Assisted Operative Treatment of Pelvic Ring Injuries Improve Patient Outcome?—A Systematic Review of the Literature

Banierink

Meesters

Duis

et al. 2021

JPM

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show abstract

“…In the literature, the use of these navigation systems has been associated with improved success rates and reduced duration of insertion and irradiation exposure time in transiliac-transsacral screw fixation. [17,23] Thakkar et al [16] reported better success rates with the use of the 3D navigation system in screw fixation compared to the conventional method. Contrary to the findings reported by those studies, Collinge et al [24] could not show differences in the surgical success rates when the standard multiplanar fluoroscopy was compared to the use of the fluoroscopy-based navigation system.…”

Section: Discussionmentioning

confidence: 99%

Do three-dimensional modeling and printing technologies have an impact on the surgical success of percutaneous transsacral screw fixation?

2020

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Caused by high-energy traumas, pelvic injuries are life-threatening complex injuries posing several unfavorable effects on the body. Pelvic fractures account for approximately 3-4.3% of all skeletal fractures. [1,2] Mortality rates due to pelvic injuries vary from 10 to 16%. [1,3] Victims of these injuries display an increased tendency to develop complications due to the nature of the injury and modes of treatment. [4-8] Complications are critical for patient survival and sequelae development. Percutaneous iliosacral and transsacral-transiliac screw fixation are the commonly preferred surgical methods for the treatment of posterior pelvic injuries. The advantages of this technique include minimal tissue damage due to the surgical procedure, improved stability of the fixation, short surgery time, and reduced risk for wound-related problems in the postoperative period. [9,10] However, patients may be prone to develop complications due to some factors, including variability in pelvic anatomy, the narrowness of the bone corridor to be screwed, and inadequacies in imaging and Objectives: This study aims to determine the role of computed tomography (CT)-derived templates, produced by threedimensional (3D) modeling, image processing and printing technology, in percutaneous transsacral screw fixation and evaluate the effects of their use on surgical success. Materials and methods: This prospective study conducted between June 2018 and December 2019 utilized 15 composite pelvis models for transsacral-transiliac screw fixation. For the procedure, modeled templates were utilized for wiring on the left side of the pelvis models, while the conventional method was performed on the right side of the pelvis models. In the computed tomography images acquired after wiring, appropriate wire position was evaluated. Results: The placed wires held the S1 body appropriately in all of the procedures with or without template use. With the template use, the wires were placed appropriately in the surgical bone corridor suitable for the transsacral-transiliac screw fixation in all of the models. However, with the conventional methods, the wires were not placed in the safe surgical bone corridor in four models. The wire deviation angle in the axial plane was significantly lower in the template group (p=0.001), whereas it was not different between the template group and the conventional method group in the coronal plane (p=0.054). The amount of deviation from the ideal wire entry site was significantly reduced in the template group compared to the conventional method group (p=0.001). Conclusion: With the use of 3D modeling and printing technology, CT-derived templates can be produced and utilized for transsacral screw fixation procedures and their use increases surgical success by reducing the surgical margin of error.

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Surgical advantages of using 3D patient-specific models in high-energy tibial plateau fractures

Öztürk

Süer

Derin

et al. 2020

Eur J Trauma Emerg Surg

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Comparison of 3D C-arm fluoroscopy and 3D image-guided navigation for minimally invasive pelvic surgery

Cited by 11 publications

References 24 publications

Does 3D-Assisted Operative Treatment of Pelvic Ring Injuries Improve Patient Outcome?—A Systematic Review of the Literature

Does 3D-Assisted Operative Treatment of Pelvic Ring Injuries Improve Patient Outcome?—A Systematic Review of the Literature

Do three-dimensional modeling and printing technologies have an impact on the surgical success of percutaneous transsacral screw fixation?

Surgical advantages of using 3D patient-specific models in high-energy tibial plateau fractures

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